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Contact Information

STOP & SHOP SUPERMARKET COMPANY, LLC
85 EAST PARK AVE
LONG BEACH, NY11561
 Phone: 516-889-6704
 Fax: 516-889-6709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for STOP & SHOP SUPERMARKET COMPANY, LLC

NPI # 1265803688
LBN Legal business name STOP & SHOP SUPERMARKET COMPANY, LLC
Authorized official RAYMOND MCCALL - (THIRD PARTY COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/12/2015
Last updated 02/14/2024 - About 2 years ago
Identifiers
NY Other 034071 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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